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GuideWell, formally GuideWell Mutual Holding Corporation (holding company for Florida Blue), is a mutual insurance holding company primarily focused on health insurance in Florida. It was created in 2013 by a reorganization initiated by Florida Blue, a member company of the Blue Cross Blue Shield Association . [ 4 ]
EviCore is the largest prior authorization company in the United States; it provides services for over 100 million people in the country, or one-third of people with health insurance, as of 2024. [11] It automates prior authorizations using its IntelliPath platform, which is used by 38 healthcare providers as of 2022. [9]
There are a number of reasons that insurance providers require prior authorization, including age, medical necessity, the availability of a generic alternative, or checking for drug interactions. [ 2 ] [ 3 ] A failed authorization can result in a requested service being denied or in an insurance company requiring the patient to go through a ...
In 1995, The Associated Group acquired Community Mutual Insurance, a provider of Blue Cross and Blue Shield insurance plans in Ohio with over 1.9 million policy holders), then set up Anthem Blue Cross and Blue Shield. [16] [17] In 1996, The Associated Group changed its name to Anthem Insurance Company. [17]
McElwee illegally acquired Medicare beneficiary identification numbers (BINs), formed a Fort Lauderdale company to sell them for around 12 cents a number and made $310,000 from selling 2.6 million ...
The Centers for Medicare & Medicaid Services (CMS) is a federal agency within the United States Department of Health and Human Services (HHS) that administers the Medicare program and works in partnership with state governments to administer Medicaid, the Children's Health Insurance Program (CHIP), and health insurance portability standards.
Founded in 1959, it has become the largest medical insurance provider in Puerto Rico thanks to its licensed affiliation with the Blue Cross Blue Shield Association. Since 1965, Triple-S, Inc. has been an independent licensee of the Blue Cross Blue Shield Association, holding the exclusive rights to the Blue Cross Blue Shield name and trademark ...
OSIS accepts updates from telecoms providers seven days a week, and supplies that information to the inquiry companies six days a week. [5] As of 2017, there were over 200 providers. [6] 118 118 (The Number) was the second most-expensive number at £11.23 for a 90-second call, but accounted for 40% of DQ calls, [4] mostly due to heavy ...